CHESI MARION CENTRE CLINIC (NPI# 1205372778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205372778 |
| Entity Type | Organization |
| Organization Name | CHESI MARION CENTRE CLINIC |
| Practice Address |
3111 Williamson County Pkwy Office A3 Marion IL 62959-5235 |
| Mailing Address |
1250 Cedar Ct Carbondale IL 62901-5334 |
| Practice Telephone | 6187344400 |
| Mailing Telephone | 6184570450 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | FRED BERNSTEIN (CEO) |
| Authorized Official Telephone | 6184570450 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH & EMERGENCY SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 20164 | 05 |
| Street Address |
3111 WILLIAMSON COUNTY PKWY OFFICE A3 |
| City | MARION |
| State | IL |
| Zip Code | 62959-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770521148 | Aline Gilbert-johnson | Psychiatry & Neurology | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2006-06-04 |
| 1407483670 | Laboratory Corporation of America | Clinical Medical Laboratory | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2020-03-26 |
| 1609401405 | Kristin Mcdonald | Nurse Practitioner | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2020-03-12 |
| 1790333656 | Brittany Funk | Occupational Therapy Assistant | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2019-09-03 |
| 1306341458 | Ashley Bennett | Registered Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-03-29 |
| 1922503374 | Ashlie Hoopes | Registered Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-03-28 |
| 1740798537 | Katye Roper | Social Worker | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-01-16 |
| 1497116628 | Centerstone of Illinois | Counselor | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2016-03-16 |
| 1346619442 | Janice Fisher | Licensed Practical Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2015-09-18 |
| 1245595651 | Monette R Logue | Counselor | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2012-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598845760 | Misison of Sight Inc | Clinic/Center | 256 S Main St, Marion, OH 43302-3933 | 2006-10-16 |
| 1972574069 | Rural Medical Clinics, Pa | Clinic/Center | 307 E State St, Marion, SD 57043-2061 | 2006-01-28 |
| 1669460952 | Smyth County Community Hospital | Clinic/Center | 1201 Snider St, Marion, VA 24354-4221 | 2005-10-11 |
| 1841298734 | Ohio Imaging LLC | Clinic/Center | 1065 Delaware Ave, Marion, OH 43302 | 2005-07-13 |
| 1083254734 | Southern Spine & Rehab LLC | Clinic/Center | 1616 W Main St Ste 503, Marion, IL 62959-1146 | 2020-01-10 |
| 1194279539 | Kejo Medical Pllc | Clinic/Center | 200 E Military Rd, Marion, AR 72364-1811 | 2016-08-14 |
| 1336328186 | Dr. M.t.joseph M.d.ltd | Clinic/Center | 1009 W Main St, Marion, IL 62959-1841 | 2007-10-29 |
| 1427155472 | Envision Professional Group, Pllc | Clinic/Center | 1020 Terrace Dr, Suite 100, Marion, VA 24354 | 2006-09-20 |
| 1427060540 | Midwest Allergy & Sinus Center, LLC | Clinic/Center | 330 N Wabash Ave, Suite 210, Marion, IN 46952-2600 | 2006-08-13 |
| 1972522431 | Delano W. Bolter | Clinic/Center | 434 Mitchell Valley Dr, Marion, VA 24354-6338 | 2006-07-18 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.